O efeito do vírus SARS-CoV-2 na audição de pacientes adultos / The effect of the SARS-CoV-2 virus on hearing in adult patients

Kozan, Sara Nasser Gerônimo; Conde, Amanda Gerônimo; Júnior, Hildo Tavares Carvalho

doi:10.34119/bjhrv5n3-066

Cited by 1 publication

(2 citation statements)

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“…Studies reported that the SARS-CoV-2 virus has the capacity to invade the cell through the angiotensinconverting enzyme type 2 (ACE2) receptor, present in the inferior respiratory tract epithelium and in cells from the small intestine mucosa [Cespedes;Souza, 2020]. Vestibulocochlear disorders, in this context, may be due to auditory centres invasion through ACE2 receptors, such as the temporal lobe, or peripheral lesions caused by local hypoxia and immune-mediated mechanisms [Kozan et al, 2022]. SARS-CoV-2 neurotropic effects possibly lead to alterations in neural networks that convey balance and hearing, as well as patients may receive ototoxic medications during treatment [Karimi-Galougahi et al, 2021].…”

Section: Introductionmentioning

confidence: 99%

“…Many vestibular and auditory signs and symptoms, permanent or transitory, have been reported after CO-VID-19, such as hypoacusis, tinnitus, and vertigo [Almufarrij et al, 2020;Munro et al, 2020;Mustafa, 2020;Kozan et al, 2022]. After 2 years of pandemic, researchers around the world have been trying to grasp phenomena, diagnosis, treatment, and follow-up of acute and chronic sequelae post-COVID-19.…”

Section: Introductionmentioning

confidence: 99%

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Auditory and Vestibular Findings in Brazilian Adults Affected by COVID-19: An Exploratory Study

Arruda de Souza Alcarás,

Alves Corazza,

Vianna

et al. 2023

Audiol Neurotol

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Introduction: The aim of the study was to describe auditory and vestibular findings in Brazilian adults after COVID-19 in a municipality from the outskirts of the São Paulo state. Methods: This was a transversal and exploratory study comprising sixteen participants infected by the SARS-CoV-2 virus, confirmed through RT-PCR detection, aged 20 to 55 years. Subjects underwent anamnesis, vestibular and auditory testing. Fisher’s exact test was used to evaluate medication use, chemical and physical exposure, and occupational risk and McNemar test was used to compare auditory and vestibular symptoms pre- and post-COVID-19. Results: Most patients were women (75%) and had been exposed to the virus over 90 days before testing (50%). 18.8% used hydroxychloroquine, 68.8% used ivermectin, and 87.5% used azithromycin to treat COVID-19. Auditory complaints were reported by 31.2% and vestibular by 18.7%. There was no statistical difference before and after the disease. Other reported symptomatology was hair loss, pain, fatigue, memory loss, difficulty to concentrate, and headache. Auditory findings were relevant in contralateral acoustic reflex, in the distortion-product otoacoustic emissions, and in the brainstem auditory evoked potential, characterizing a neurosensorial compromise. 43.74% of patients had altered vectonystagmography. When comparing both ears, no statistical relevance was found; however, when results were crossed with medication use and exposures, there was statistical relevance in the amplitude of the V wave for medications and absolute latency of the V wave to exposure to physical agents. Discussion/Conclusion: This study demonstrated auditory and vestibular findings of neurosensorial nature, considering hearing and of a peripheral vestibulopathy. As it is a study of transversal nature, it is not possible to extend results to general population; yet it may be a finding to future studies.

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Section: Introductionmentioning

confidence: 99%